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1881058238
DEEPTHY JOLAL
PHOENIX, AZ
NPI
1881058238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: AZ AP8609)
Enumeration Date
2016-04-12
Last Update Date
2016-04-12
Business Address
DEEPTHY JOLAL NP
4204 W CACTUS RD
PHOENIX, AZ 85029-2924
Phone number: 602-547-5919
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Mailing Address
DEEPTHY JOLAL NP
5542 W CAVEDALE DR
PHOENIX, AZ 85083-6369
Phone number: 623-337-1146
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